Job Details

Overview

The Claims Manager is responsible for day-to-day oversight of general and professional liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility. The Claims Manager will have responsibility for investigating, evaluating and managing professional and other liability claims against the organization as assigned or directed by the Director of Risk & Claims; maintaining up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software; coordinating with facility leadership, risk managers, defense counsel, and others; ensuring compliance with relevant claims reporting procedures and required regulations; and providing feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues. The Claims Manager will foster teamwork, operational excellence and effective communication within the claims team, including other Claims Managers, Claims Technicians and Claims Specialists. The Claims Manager can be distinguished from the senior manager by handling claims with smaller loss potential and that are less complex in nature.

Providence caregivers are not simply valued theyre invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Responsibilities

• Investigate, evaluate and manage professional and other liability claims against the organization within an assigned region or scope.
• Maintain up-to-date and accurate claims files, including summaries, action plans, and status in the claims data management software.
• Coordinate with facility leadership, risk managers, defense counsel, and others; ensure compliance with claims reporting procedures and applicable regulations.
• Provide feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, policies and procedures, and system risk management issues.
• Foster teamwork and effective communication within the claims team (Claims Managers, Claims Technicians, Claims Specialists).
• Handle claims with smaller loss potential and less complexity, distinguishing the role from senior management.

Required Qualifications

• Bachelor's Degree in Business Administration, Finance, or a related discipline, or an equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues.
• 5 years of relevant general claims processing or management experience, or an equivalent combination of direct legal work (e.g., as a litigator or paralegal), healthcare or general risk management, and insurance claims handling.

Preferred Qualifications

• Upon hire: Certified Professional Healthcare Risk Management (CPHRM).
• Experience with a mix of general liability claims, including at least 10 claims with significant bodily injury and experience with STARS software.
• Healthcare experience.

Salary Range by Location

AK: Anchorage Min: $45.14, Max: $70.07; AK: Kodiak, Seward, Valdez Min: $47.05, Max: $73.04; California Humboldt Min: $47.05, Max: $73.04; California All Northern California (excluding Humboldt) Min: $52.79, Max: $81.94; California All Southern California (excluding Bakersfield) Min: $47.05, Max: $73.04; California Bakersfield Min: $45.14, Max: $70.07; Montana Excluding Great Falls Min: $36.34, Max: $56.41; Montana Great Falls Min: $34.43, Max: $53.44; Oregon Non-Portland Service Area Min: $42.08, Max: $65.32; Oregon Portland Service Area Min: $45.14, Max: $70.07; Texas Min: $34.43, Max: $53.44; Washington Western (excluding Tukwila) Min: $47.05, Max: $73.04; Washington Southwest (Olympia, Centralia & below) Min: $45.14, Max: $70.07; Washington Tukwila Min: $47.05, Max: $73.04; Washington Eastern Min: $40.16, Max: $62.35; Washington South Eastern Min: $42.08, Max: $65.32

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of Know me, care for me, ease my way. Working at our family of organizations means that regardless of your role, well walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits, voluntary benefits, well-being resources and more. Learn more at providence.jobs/benefits.

About The Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across the listed states. We are focused on supporting our Mission by delivering a robust foundation of services and sharing specialized expertise. Providence is proud to be an Equal Opportunity Employer and is committed to creating an inclusive workplace free from unlawful discrimination and harassment. We value diversity and equal opportunities for advancement.

Requsition ID: 388239 | Company: Providence Jobs | Job Category: Financial Transactions | Job Function: Health Plans Services | Job Schedule: Full time | Job Shift: Day | Career Track: Business Professional | Department: 4008 SS RIS | Address: MT Missoula 500 W Broadway | Work Location: St Patrick Hospital-Broadway Bldg-Missoula MT | Workplace Type: Remote

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